Relationship between bottle feeding in supine position in infants and the presence of asthma among preschoolers
Keywords:
asthma, micro-aspiration, bottle feeding, supine position, preschool
Abstract
Background Asthma is a common chronic respiratory disease.The risk factors of asthma are allergic factors, familial atopy,
race, gender, and smoking during pregnancy. Other risk factors
are gastroesophageal reflux and micro-aspiration which cause
bronchospasm and bronchial hyperreactivity due to repeated
airway irritation.
Objective To determine the association between bottle feeding
given in supine position before sleep time in the first year of life
with asthma in 4 to 7 years old.
Methods A case control study was conducted on pediatric
patients from Sardjito Hospital and Muhammadiyah kindergarten, Yogyakarta. Two structured questionnaires were used; the first identified the case group (asthma) and control group (nonasthma), whereas the second one identified whether the subjects had bottle feeding in supine position in the first year of life or not.
Results 122 subjects were studied, 62 subjects in asthma group
and 60 in control group. In asthma group, feeding in supine
position before sleep time in the first year had OR of 2.45 (95%
CI 1.21 to 6.93), whereas regurgitation when bottle-feeding in
supine position had OR of 4.53 (95% CI 1.54 to 13.16). Sudden
cry when bottle-feeding in supine position had OR of 5.02 (95%
CI 1.69 to 15.71). Asthma in the family increased risk of asthma
[OR 3.12 (95% CI 1.16 to 6.50)] and atopicfamily has OR 3.25
(95% CI 1.01 to 6.27).
Conclusion Bottle feeding in supine position before sleep time
during first year oflife is associated with occurrence of asthma in
preschool children.
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feeding in the bed or crib before sleep time and wheezing in
early childhood. Pediatrics. 2002; 11 O:e 77.
2. Unit koordinasi kerja pengurus pusat ikatan dokter anak
Indonesia. Pedoman nasional asma anak. Jakarta: Balai
Penerbit IDAI; 2004.
3. Harding SM, Richter JE. The role of gastroesophageal reflux
in chronic cough and asthma. Chest. 1997; 111:1389-402.
4. Harding SM, Schan CA, Guzzo MR, Alexander RW, Bradley
LA, Richter JE. 1995. Gastroesophageal reflux-induced
bron-choconstriction: is microaspiration a factor? Chest.
1995; 108:1220-122 7.
5. Nelson SP, Chen EH, Syniar OM, Christoffel KK. Prevalence
of symptoms of gastroesophageal reflux during infancy: a
pediatric practice-based survey. Arch Pediatr Adolesc Med.
1997; 151:569-72.
6. Vincent D, Cohen-Jonathan AM, Leport J, Merrouche M,
Geronimi A, Pradalier A, et al. Gastro-esophageal reflux
prevalence and relationship with bronchial reactivity in
asthma. Eur Resp J. 1997; 10:2255-9.
7. Celedon JC, Litonjua M, Weiss ST, Gold DR. Day care
attendance in the first year of life and illnesses of the upper
and lower respiratory tract in children with a familial history
of atopy. Pediatrics. 1999; 104:495-500.
8. Rusconi F, Galassi C, Corbo OM, Forastiere F, Biggeri A,
Ciccone G, et al. Risk factors for early, persistent, and late
onset wheezing in young children. Am J Respir Crit Care
Med. 1999;160:1617-22.
9. Feranchak AP, Orenstein SR, Cohn JF. Behavior associated
with onset of gastroesophageal reflux episodes in infants:
prospective study using split-screen video and pH probe.
Clin Pediatr. 1994;33:654-62.
10. Behrman RE, Kjiegman RM, Arvin AM. Nelson Textbook
of Pediatric, 15th ed. Philadelphia: Saunders; 1996.
11. Kiljander TO, Salomaa ERM, Hietanen EK, Toni 0, Eino K,
Erkki 0, et al. Gastroesphageal reflux in asthmatics : a double
blind, placebo-control, crossover study with omeprazole.
Chest. 1999;116:1257-64.
Published
2009-07-01
How to Cite
1.
Chandrawati P, Naning R, Haksari E. Relationship between bottle feeding in supine position in infants and the presence of asthma among preschoolers. PI [Internet]. 1Jul.2009 [cited 22Nov.2024];49(3):182-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/549
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Received 2016-09-10
Accepted 2016-09-10
Published 2009-07-01
Accepted 2016-09-10
Published 2009-07-01
